| NPI | 1417198391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WY LMFT-131) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 19116) |
| 106H00000X Marriage & Family Therapist (Licence: MT 19101) | |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2017-05-04 |